Individual
MELISSA BAKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 COVINGTON COVE CIR, DEERFIELD, WI 53531-9470
(608) 516-7191
Mailing address
121 COVINGTON COVE CIR, DEERFIELD, WI 53531-9470
(608) 516-7191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7417-125
WI
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
06/05/2019
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